| NPI | 1528358215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036173699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124293) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2025-02-17 |