| NPI | 1306990726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 253362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229492) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-06-09 |