| NPI | 1760486245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: IL 036-074760) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036074760) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-02-23 |