| NPI | 1073994232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NM MD2022-1491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.067564) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2023-07-13 |