NPI | 1780692525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036096583) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 68212-20) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-06-15 |