NPI | 1972714491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD430851) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD430851) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2013-04-15 |