| NPI | 1154390268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 018027) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036073147) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-12-19 |