| NPI | 1568043909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.173862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077965) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2025-06-11 |