| NPI | 1033319025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA RSCHNEPP1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190336) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2015-03-25 |