NPI | 1528000361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036070562) |
Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036-070562) |
208M00000X Hospitalist (Licence: IL 036070562) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-10-10 |