| NPI | 1639674211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: IL 036.155959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301511663) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-04-12 |