| NPI | 1609887983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 106905) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 106905) |
| 208000000X Pediatrics (Licence: MO 106905) | |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: MO 106905) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-01-15 |