NPI | 1578059499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036168771) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10064498) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-06-05 |