NPI | 1700033628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.120211) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036120211) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2014-08-27 |