| NPI | 1033378765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME156244) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D75008) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R6070) | |
| 208000000X Pediatrics (Licence: MD D75008) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-10-11 |