| NPI | 1861666919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A116427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A116427) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2017-05-02 |