NPI | 1952518920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036117696) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036117696) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 40169) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2022-12-22 |