| NPI | 1538132782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 11484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036110778) |
| 208000000X Pediatrics (Licence: ND PT 11484) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-03-07 |