| NPI | 1154339570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD058050L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD058050L) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD058050L) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-04-15 |