NPI | 1578525507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036109474) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036109474) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2021-03-08 |