| NPI | 1265598403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036-102675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036102675) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2025-12-10 |