| NPI | 1326117078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA06242100) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ MA062421) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-06-23 |