| NPI | 1003942145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.132786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007011139) |
| 208000000X Pediatrics (Licence: MO 2004014306) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2013-10-02 |