| NPI | 1447464375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A98436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A98436) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A98436) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CA A98436) | |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A98436) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-01-26 |