| NPI | 1982606497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.168144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-2211) |
| 208000000X Pediatrics (Licence: TN 58522) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-02-26 |