NPI | 1275790040 |
---|---|
Former Name | EMILY JANE ROTHBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A108998) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245251-1) |
208000000X Pediatrics (Licence: CA A108998) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2011-02-03 |