| NPI | 1013909373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL ME81627) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WI 4579) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2024-10-03 |