| NPI | 1780181529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036164381) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD2000024) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2023-06-07 |