| NPI | 1245337047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 1370991) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 137099) |
| 207K00000X Allergy & Immunology (Licence: NY 1370991) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-30 |