| NPI | 1063455368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D32436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D32436) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-29 |