| NPI | 1467587485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA02573300) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 109191) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-04-05 |