| NPI | 1013109164 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036.134312)  | 
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MN 52036)  | 
| Enumeration Date | 2007-08-13 | 
| Last Update Date | 2022-04-20 |