| NPI | 1841340882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036113073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54693) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-12-11 |