| NPI | 1679521843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ 25MA04135300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04135300) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NJ 25MA04135300) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-02-12 |