| NPI | 1932376274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A107565) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125050815) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2010-08-26 |