| NPI | 1437286853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: VA 0101232468) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: VA 0101232468) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-03-26 |