| NPI | 1376705236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-130775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008009821) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2008009821) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2016-03-09 |