| NPI | 1811236714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: AR E-11478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.173148) |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036.173148) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2025-01-21 |