NPI | 1811070923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IL 036-144594) |
Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MA 76111) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2018-03-17 |