NPI | 1477521847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD126268) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107015) |
208000000X Pediatrics (Licence: WI 49380-020) | |
208000000X Pediatrics (Licence: IL 036-107015) | |
Enumeration Date | 2006-03-10 |
Last Update Date | 2009-12-09 |