| NPI | 1649653494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-172737) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301115622) |
| 208000000X Pediatrics (Licence: IL 125067744) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-04-18 |