| NPI | 1699940049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2009017815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009017815) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-08-30 |