| NPI | 1326743154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036.179656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.179656) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-07-01 |