NPI | 1689829285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036138414) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036138414) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2024-04-16 |