| NPI | 1174822985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 57896) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 261860) |
| 208000000X Pediatrics (Licence: TN 57896) | |
| 208000000X Pediatrics (Licence: MA 261860) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-03-22 |