| NPI | 1649214529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0057508) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D57508) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME92043) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-03-16 |