| NPI | 1316345077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: IL 036111634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1015840) |
| 208000000X Pediatrics (Licence: NC 200200389) | |
| 208000000X Pediatrics (Licence: MN 42674) | |
| 208000000X Pediatrics (Licence: IL 036111634) | |
| 208000000X Pediatrics (Licence: MI 4301113666) | |
| 208000000X Pediatrics (Licence: WI 69592-20) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 200200389) | |
| 208U00000X Clinical Pharmacology (Licence: MA 1015840) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2025-03-10 |