| NPI | 1871115741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX W5877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036165717) |
| 208000000X Pediatrics (Licence: TX W5877) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2026-07-10 |