| NPI | 1295768588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-090820) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 036-090820) |
| 208000000X Pediatrics (Licence: IL 036-090820) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-07-13 |