| NPI | 1821420209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036036036) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036036036) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |