| NPI | 1508894221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MD D33679) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MH D33679) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: MD D33679) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-02-22 |