| NPI | 1326333444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301098634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098634) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-02-24 |