| NPI | 1881891471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036122306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-051736) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 02004004A) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-01-19 |