| NPI | 1588942676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NC 2019-01752) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036138461) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IL 036138461) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-06-09 |