| NPI | 1720585383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 036.170293) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: IL 036.170293) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-08-19 |