NPI | 1770558033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 036080260) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036080260) |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: IN 01082110) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2019-08-09 |