| NPI | 1447518535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD483111) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MA11298200) |
| 207K00000X Allergy & Immunology (Licence: NY 281143) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2024-03-26 |