| NPI | 1871573147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0096070) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.120038) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-04-19 |