| NPI | 1033301411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301098041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20009004) |
| 208000000X Pediatrics (Licence: MI 4301098041) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-11-07 |