NPI | 1104989409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036-077602) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036077602) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2009-12-17 |