| NPI | 1497036552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036139116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015004429) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 2014016553) | |
| 208M00000X Hospitalist (Licence: IL 036139116) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2025-04-03 |