| NPI | 1477527828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 200087) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036122936) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-11-05 |