| NPI | 1669492799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 138863) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 138863) |
| 207R00000X Internal Medicine (Licence: NY 138863) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 138863) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NY 138863) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-07-03 |