| NPI | 1164595146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036059128) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036059128) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-11 |