| NPI | 1932271988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NE 26247) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 50266) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: WI 50266) | |
| 208000000X Pediatrics (Licence: NE 26247) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-09-22 |