| NPI | 1285079426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A137196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A137196) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A137196) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2023-07-03 |