| NPI | 1154585131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125051014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051014) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2013-05-13 |