NPI | 1386846335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10010576) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127449) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2014-05-06 |