NPI | 1902117302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036133505) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133505) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2022-07-22 |