| NPI | 1881155737 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-158347)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036-158347)  | 
| Enumeration Date | 2019-03-25 | 
| Last Update Date | 2025-08-01 |