| NPI | 1093444259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0116041675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036175580) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2026-05-24 |