| NPI | 1730289273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036-083475) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-083475) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2021-04-21 |