| NPI | 1841378841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: CA C25599) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CA C25599) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |