| NPI | 1831493816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036.140379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125057947) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301102152) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2022-05-12 |