NPI | 1548593049 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.130987) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125057065) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2021-03-31 |