| NPI | 1801996079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D62592) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MD D62592) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-10-12 |