| NPI | 1487810156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 248449) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036120469) |
| 207K00000X Allergy & Immunology (Licence: MA 248449) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2015-07-07 |