| NPI | 1699081646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036125529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-125529) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-05-04 |