| NPI | 1306102835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036146930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA Not Yet Licensed) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2018-08-02 |