| NPI | 1720171093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036136533) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010003226) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2010003226) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2024-05-06 |