NPI | 1033795133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036.169167) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.169167) |
Enumeration Date | 2021-03-20 |
Last Update Date | 2024-06-11 |