NPI | 1821023375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036-48535) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-048535) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2021-04-26 |