NPI | 1316332117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: IL 036.145272) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066887) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2018-07-02 |