| NPI | 1073707345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD44674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036070494) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2018-03-17 |