| NPI | 1851619647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036125556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.125556) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 02004211A) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-03-07 |