| NPI | 1841519915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NV DO3737) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD H0079500) |
| 207K00000X Allergy & Immunology (Licence: OH 34.016196) | |
| 207K00000X Allergy & Immunology (Licence: WA OP60856014) | |
| 208000000X Pediatrics (Licence: IL 125058267) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-09-13 |