| NPI | 1033116801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ MA53338) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: NJ 25MA05333800) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-03-07 |