| NPI | 1346259363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA04602400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD031017E) |
| 208000000X Pediatrics (Licence: NJ 25MA04602400) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD031017E) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2018-12-03 |