| NPI | 1144277823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 147649) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 147649) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NY 147649) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-08-19 |