| NPI | 1417939778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301035591) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301035591) |
| 208000000X Pediatrics (Licence: MI 4301035591) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301035591) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-07-23 |