| NPI | 1326401019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A179031) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0063979) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2026-04-07 |