| NPI | 1689179889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD480352) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 321714) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2023-08-21 |