| NPI | 1992792006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ND 5766) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: ND 5766) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: ND 5766) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: ND 5766) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |