| NPI | 1760464044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 11173) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL 11173) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-03-19 |