| NPI | 1992363238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 292052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125073883) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2022-08-01 |