| 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 |