| NPI | 1528011533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NM MD2023-0355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036103427) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 53200) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-05-09 |