| NPI | 1437131299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036110062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME138814) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-110062) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-07-11 |