NPI | 1417958133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-049107) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036-049107) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2022-05-23 |