| NPI | 1700249026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.163090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068180) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301501740) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-07-05 |