| NPI | 1124549993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IL 125.070604) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TX W0965) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-11-03 |