| NPI | 1205463684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036176026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036176026) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-10-30 |