| NPI | 1700825395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 140894) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ MA054270) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-04-03 |