| NPI | 1154527604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: OR MD23257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD23257) |
| 208000000X Pediatrics (Licence: NY 262172) | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NY 262172) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2022-10-06 |