| NPI | 1598325813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A196009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036165537) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-06-11 |