| NPI | 1194134080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01090394A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036143877) |
| 208000000X Pediatrics (Licence: IL 125065102) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-03-11 |