| NPI | 1194986489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01084624A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036130411) |
| 208000000X Pediatrics (Licence: IL 125-054204) | |
| 208000000X Pediatrics (Licence: FL ME138680) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-12-31 |