| NPI | 1073586707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL ME99087) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NC 00036794) |
| 208000000X Pediatrics (Licence: NC 00036794) | |
| 207ZH0000X Pathology Hematology (Licence: NC 00036794) | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: ND 8601) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-08-27 |