| NPI | 1437139227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 249904) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-109714) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-10-14 |