| NPI | 1467442384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA09095500) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 255713) |
| 207R00000X Internal Medicine (Licence: NY 255713) | |
| Enumeration Date | 2005-10-22 |
| Last Update Date | 2024-11-22 |