| NPI | 1275038556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036.155793) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 29597) |
| 208000000X Pediatrics (Licence: MN 65953) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-03-28 |