| NPI | 1336211911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL me85775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME85775) |
| 208000000X Pediatrics (Licence: IL 036106501) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-12-13 |