NPI | 1265409353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-100359) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-100359) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2007-07-08 |