NPI | 1326354838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C174205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-127235) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2024-11-12 |