NPI | 1568586428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A107774) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036117918) |
Enumeration Date | 2007-03-18 |
Last Update Date | 2017-01-20 |