| NPI | 1952518920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036117696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036117696) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 40169) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036117696) | |
| 207P00000X Emergency Medicine (Licence: IL 036117696) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-11-14 |