| NPI | 1336174671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101255185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01053959A) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-05-27 |