| NPI | 1003041476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036-129957) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MN 59927) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036-129957) | |
| 208000000X Pediatrics (Licence: IL 125-56138) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-04-05 |