NPI | 1609258474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.145864) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067837) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2018-07-04 |