| NPI | 1427093129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036-048390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036048390) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-02-15 |