| NPI | 1578227286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 13210812-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 13210812-1205) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-05-28 |