| NPI | 1063461432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 138757) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 138757) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 138757) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-01-27 |