| NPI | 1447255351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 165206) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 165206) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA5282400) | |
| 207K00000X Allergy & Immunology (Licence: NJ ma52824) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-01-29 |