| NPI | 1073748414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO 62988) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119511) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-12-27 |