| NPI | 1083919864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036127108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127108) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2022-05-23 |