| NPI | 1932605607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR E-14720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-14720) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-09-18 |