NPI | 1306034897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036113321) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036076635) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2023-11-13 |