| NPI | 1871089441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036172486) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A196124) |
| 208000000X Pediatrics (Licence: MI 5315091550) | |
| 208000000X Pediatrics (Licence: PA MD474039) | |
| 208000000X Pediatrics (Licence: IA MD-48378) | |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2025-04-24 |