| NPI | 1306866124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036054400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301037885) |
| 208000000X Pediatrics (Licence: CA A33664) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |