| NPI | 1184690109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: IL 036133088) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 44933) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: WI 44933) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-10-08 |