| NPI | 1073002689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA11874900) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA11874900) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-02-11 |