| NPI | 1366414526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 45096) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01053451A) |
| 208000000X Pediatrics (Licence: KY 45096) | |
| 208000000X Pediatrics (Licence: IN 01053451A) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-03-16 |