| NPI | 1487812749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NC 2010-01468) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 2010-01468) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-12-18 |