| NPI | 1639335144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 43336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL ap388152872275) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2018-01-30 |