NPI | 1205007994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036119081) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036119081) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2020-05-22 |