| NPI | 1417957879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: DC MD31795) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MD D0061853) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: VA 0101236683) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |