| NPI | 1568449437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ 43264) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 0361117211) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 49740) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 36111721) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 49740) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301066665) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO 23253) | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-06-25 |