NPI | 1205578481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-176344) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-176344) |
Enumeration Date | 2022-04-08 |
Last Update Date | 2025-09-02 |