| NPI | 1275775173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A106043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A106043) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-03-20 |