| NPI | 1679613830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NJ 25MA02661000) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NJ 25MA02661000) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |