| NPI | 1063678852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036127354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125054319) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2015-08-06 |