| NPI | 1386846335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C10010576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127449) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-05-06 |