| NPI | 1932226644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0055929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088191) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: GA 061080) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 4301088191) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-07-21 |