| NPI | 1427492453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036.159535) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 135096) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2025-07-03 |