| NPI | 1184116386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036159272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.072233) |
| 207R00000X Internal Medicine (Licence: IL 125.072233) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-06-27 |