| NPI | 1538179361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036070989) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101009035) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-07 |