| NPI | 1689681439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: HI MD6238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD6238) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |