NPI | 1215965595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036-163497) |
Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA G54520) |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: FL ME96677) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-05-09 |