| NPI | 1780244020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 36161197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116033242) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2025-05-29 |