| NPI | 1023286002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A151700) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036.125282) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY TP110) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2019-04-26 |