| NPI | 1124424817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL MD.38283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.38283) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2021-08-18 |