| NPI | 1699856559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: OH 35057646) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: OH 35057646) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-11-14 |