| NPI | 1326012204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-092456) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 36092456) |
| 208000000X Pediatrics (Licence: IL 036092456) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-09-21 |