| NPI | 1568882157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 336715) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IL 036-152434) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2025-08-11 |