| NPI | 1154640324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036.163809) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX P6084) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 2024-01519) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2025-01-23 |