| NPI | 1306871660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 03090116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036090116) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-06-25 |