| NPI | 1942279633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A39509) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A39509) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-07-21 |