| NPI | 1215154943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME102340) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.130273) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME 102340) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-11-26 |