| NPI | 1740710821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036.152829) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.152829) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-06-28 |