| NPI | 1134173842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 60869) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 48856) |
| 208000000X Pediatrics (Licence: IL 03610956) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 03610956) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-03-08 |