| NPI | 1104836733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D76204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301074004) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301074004) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35090984) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-04-04 |