| NPI | 1841236130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NH 6661) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NH 6661) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-09-15 |