| NPI | 1700103272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WI 65593) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WI 65593) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036133499) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-04-08 |