| NPI | 1841751666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036156177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125074917) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-10-16 |