| NPI | 1093808370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 43248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-116909) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2011-12-02 |