| NPI | 1508178062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-125827) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036125827) |
| 208000000X Pediatrics (Licence: IL 036125827) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2024-02-19 |