| NPI | 1477552024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ MA43090) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MA04309000) |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2007-08-07 |