| NPI | 1164526448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: CA A52229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A52229) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-11-05 |