| NPI | 1659566388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036-120414) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T4622) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 34008593) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2026-06-03 |