| NPI | 1831165034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036077588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036077588) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2017-10-23 |