NPI | 1932376274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A107565) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125050815) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2010-08-26 |