NPI | 1801862206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 36105864) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36105864) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2021-04-01 |