| NPI | 1083243075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036180907) |
| 208000000X Pediatrics (Licence: IL 036180907) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-07-12 |