| NPI | 1265490841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 21622) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 21622) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-08-10 |