| NPI | 1972519320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036067746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036067746) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-22 |