NPI | 1679594055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036095041) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01058382A) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-07-06 |