| NPI | 1447205836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 2262761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226276) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-12-09 |