| NPI | 1457332298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CT 31434) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 031434) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CT 031434) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-04-14 |