| NPI | 1851354997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 228879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 228879) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 228879) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 228879) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2023-07-13 |