| NPI | 1427138098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 31731) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036040823) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-07-11 |