| NPI | 1689170490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A165497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A165497) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-07-10 |