| NPI | 1851335053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036096112) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036096112) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-10-28 |