NPI | 1013188408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128459) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257716) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2018-06-04 |