| NPI | 1396731063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: IL 036-101239) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: KY 29978) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2021-07-30 |