NPI | 1639190200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: IL 036087077) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036087077) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-06-20 |