| NPI | 1568411650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 5972090) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 5972090) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-02-03 |