| NPI | 1922064435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 173338) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 173338) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 173338) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-06-06 |