| NPI | 1255646220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 01075780A) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IN 01075780) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2019-02-18 |