| NPI | 1629537873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.160799) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036160799) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-09-11 |