| NPI | 1154647550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 113000057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 113000057) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2013-03-11 |