| NPI | 1497701965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 190379) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 190379) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2025-12-13 |