| NPI | 1255597779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-121944) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036121944) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-02-20 |