NPI | 1952676280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036138283) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036138283) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2024-11-06 |