| NPI | 1033296801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036116788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-116788) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-12-02 |