| NPI | 1770874893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036.152400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.152400) |
| 208000000X Pediatrics (Licence: CA A123980) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A123980) | |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2020-06-25 |