| NPI | 1871854257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 336101287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012019352) |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2021-04-15 |