| NPI | 1841271699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: CT 027137) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 027137) |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: CT 027137) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CT 27137) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-08-25 |