| NPI | 1083898373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 238782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 238782) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2011-12-10 |