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 |