NPI | 1669490132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-136399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-136399) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-09-27 |