| NPI | 1639758048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 125077559) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036170783) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2025-08-13 |