| NPI | 1841239001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.033576) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35033576) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-01-06 |