| NPI | 1750874103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: IL 036156400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036156400) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-05-03 |