| NPI | 1609195601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036132010) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IL 036132010) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2024-03-06 |