NPI | 1942266952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 68924-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036104503) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-03-17 |