| NPI | 1013137371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101255153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5154) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME114429) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2014-12-15 |