| NPI | 1215354204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 65588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL BF 4649604-B553) |
| 208000000X Pediatrics (Licence: IL BF 4649604-B553) | |
| 208000000X Pediatrics (Licence: MN 65588) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-07-11 |