| NPI | 1427118868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CA G380560) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G380560) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-05-10 |