| NPI | 1477521847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD126268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107015) |
| 208000000X Pediatrics (Licence: WI 49380-020) | |
| 208000000X Pediatrics (Licence: IL 036-107015) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-12-09 |