| NPI | 1588989750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 336093650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 336093650) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA 60642631) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2016-04-19 |