| NPI | 1699856450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: LA MD.203969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036110845) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-03-03 |