| NPI | 1548237167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 142213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 142213) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2011-01-04 |