| NPI | 1427299379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 52487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0052487) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2020-11-12 |