| NPI | 1003898230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036070002) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: MN 45643) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MN 45643) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-03-23 |