NPI | 1235315375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0048958) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48958) |
Enumeration Date | 2008-01-19 |
Last Update Date | 2020-04-13 |