NPI | 1235707738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036.174180) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.174180) |
Enumeration Date | 2021-06-12 |
Last Update Date | 2025-05-16 |