| NPI | 1992961577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0051047) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CO DR.0051047) |
| 207R00000X Internal Medicine (Licence: CO DR.0051047) | |
| 208000000X Pediatrics (Licence: CO DR.0051047) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2018-12-05 |