| NPI | 1164441887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-076212) |
| Additional Taxonomies | 2080T0002X Pediatrics, Medical Toxicology (Licence: IL 036-076212) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |