| NPI | 1851322184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 36051096) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036051096) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-04-13 |