| NPI | 1851564470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036104474) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036104474) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2026-02-11 |