| NPI | 1619950250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036067184) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036067184) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036067184) | |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-10-01 |