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 |