| NPI | 1396721940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036079541) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01098685A) |
| 208000000X Pediatrics (Licence: IN 01098685A) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2026-03-26 |