| NPI | 1467871087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-142684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.064780) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-12-10 |