| NPI | 1972690212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-05772) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 03605772) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-05772) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |