| NPI | 1255592374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: LA MD.205670) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 125-051-434) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-12-11 |