NPI | 1558688127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036127371) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127371) |
Enumeration Date | 2010-04-22 |
Last Update Date | 2022-12-30 |