| NPI | 1174753578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NH 25156) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: PA MD464907) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-02-22 |