| NPI | 1437249760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036-064666) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-064666) |
| 208000000X Pediatrics (Licence: IL 036-064666) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-01-10 |