| NPI | 1093811572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX H9337) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01062648A) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301097594) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-02-05 |