NPI | 1912569773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 20A19228) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036158253) |
208000000X Pediatrics (Licence: CA 20A19228) | |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-10-23 |