| NPI | 1497095590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.063703) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.063703) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |