| NPI | 1710037742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036085177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-085177) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-04-21 |