NPI | 1073707345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD44674) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036070494) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2018-03-17 |