| NPI | 1548593049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.130987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125057065) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2021-03-31 |