NPI | 1992363238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MA 292052) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125073883) |
Enumeration Date | 2019-06-02 |
Last Update Date | 2022-08-01 |