| NPI | 1811159916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MD D70753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053279) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-03-17 |