| NPI | 1699700146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036-075005) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036-075005) |
| 208000000X Pediatrics (Licence: IL 036-075005) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-03-22 |