| NPI | 1699087742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 74559) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: GA 74559) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-10-29 |