| NPI | 1801861216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A110453) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A110453) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-05-31 |