| NPI | 1184822850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MB09005300) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KY 04510) |
| 207K00000X Allergy & Immunology (Licence: OH 04510) | |
| 207R00000X Internal Medicine (Licence: NJ 25MB09005300) | |
| 207R00000X Internal Medicine (Licence: KY 04510) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: OH 04510) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: KY 04510) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MB09005300) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MB09005300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MB09005300) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 04510) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 04510) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MB09005300) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 04510) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-05-30 |