NPI | 1285619726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 336-046201) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 336-046201) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2018-04-23 |