| NPI | 1013945708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: ME 2317) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MB08085000) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-12-01 |