NPI | 1275812380 |
---|---|
Entity Type | Organization |
Authorized Contact | DORON D KAHANA President 424-234-1840 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: CA A91621) |
Additional Taxonomies | 133N00000X Nutritionist (Licence: CA A91621) |
Enumeration Date | 2011-08-06 |
Last Update Date | 2016-05-20 |