| NPI | 1861658833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125-052530) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036125320) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2014-03-26 |