| NPI | 1114173424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD443215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246489) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-05-14 |