| NPI | 1942225966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-106796) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36076575) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-11-17 |