| NPI | 1477553899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036083285) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036083285) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2012-10-17 |