| NPI | 1164825741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036165843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.165843) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2026-08-05 |