| NPI | 1104110832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 036.158077) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX R4148) |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2022-02-22 |