| NPI | 1093998874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-112557) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-112557) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2021-11-18 |