| NPI | 1447300470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 78174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036084578) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036084578) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-09-29 |