| NPI | 1578792495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-140355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009017562) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2024-05-07 |