| NPI | 1013954486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036091245) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036091245) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-04-21 |