| NPI | 1427184852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: NY 084947) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: NY 084947) |
| 208000000X Pediatrics (Licence: NY 084947) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-03-05 |