| NPI | 1053386524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD484978) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10033600) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CT 042640) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA10033600) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2024-05-22 |