| NPI | 1912089020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 22806) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 22806) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |