| NPI | 1982718912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 36-48818) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 36-48818) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-05-05 |