| NPI | 1932168408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301068779) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301068779) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301068779) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301068779) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-08-20 |