| NPI | 1720032766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036086962) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036086962) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-09-04 |