| NPI | 1003312059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036169538) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036169538) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-06-21 |