| NPI | 1821153172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: VA 0101020960) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: MD D0020026) |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: DC MD6449) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-11-21 |