| NPI | 1548766892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036157388) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IL 036157388) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-03-02 |