NPI | 1396024972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 03613072) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 03613072) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036133072) | |
208000000X Pediatrics (Licence: IL 036-133072) | |
208000000X Pediatrics (Licence: MI 4301095991) | |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-02-28 |