| NPI | 1447285374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SC 28018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 28018) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-04-18 |