| NPI | 1144305376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 323471) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO 44872) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-04-08 |