| NPI | 1912969726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 50965) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A54845) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 151989) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036110478) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-10-29 |