| NPI | 1023121662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036-106562) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WI 48209-020) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-05-05 |