| NPI | 1154594885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NV 13620) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A91914) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: HI 23961) | |
| 208000000X Pediatrics (Licence: CA a91914) | |
| 208000000X Pediatrics (Licence: NV 13620) | |
| 208000000X Pediatrics (Licence: HI 23961) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2024-10-15 |