| NPI | 1114345485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0071048) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A142596) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 302637) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-05-16 |