| NPI | 1932141777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036100144) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036100144) |
| 208000000X Pediatrics (Licence: IL 036100144) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-04-21 |