| NPI | 1508885385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-056538) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036056538) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: IL 036056538) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-04-05 |