| NPI | 1639147002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036092834) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036092834) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2011-09-21 |