| NPI | 1013395250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036142874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 64787) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TN 64787) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2025-07-16 |