| NPI | 1033748181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-161930) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-161930) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-08-21 |