| NPI | 1720320526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: IL 036.138725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.062594) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-12-17 |