| NPI | 1528645447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.151179) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.151179) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-06-26 |