| NPI | 1730303439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036097237) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036097237) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-09-11 |