| NPI | 1235128075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036112461) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036112461) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2011-09-22 |