Individual
LAITH AL EJEILAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301506736
MI
208000000X
Pediatrics Physician
Primary
82876
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2019
Last updated
07/08/2026
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