NPI | 1295802882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036095398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036095398) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-11-14 |