NPI | 1184654352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IL 036092232) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-092232) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2024-04-09 |