| NPI | 1396494670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.080061) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301516213) |
| 208000000X Pediatrics (Licence: IL 125.080061) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-07-07 |