| NPI | 1467744649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 27205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 27205) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2025-06-30 |