| NPI | 1063867836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IL 036176998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036176998) |
| 208000000X Pediatrics (Licence: NJ 25MA11534700) | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NJ 25MA11534700) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2025-10-08 |