| NPI | 1326133513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY ABIM542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 086812) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY CER26234) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |