| NPI | 1205908639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036068207) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO R8A32) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-04-10 |