| NPI | 1154477834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD436327) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P6853) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD436327) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-02-19 |