NPI | 1053871962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101028059) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.157711) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-08-27 |