| NPI | 1326090598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-060695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 336025262) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-12-18 |