| NPI | 1871599787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-37254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036103189) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2024-04-18 |