| NPI | 1932107554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 33971) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 33971) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-09-11 |