| NPI | 1073597936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036-055782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-055782) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-09-27 |