| NPI | 1326118563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CO 31045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 31045) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-12-05 |