| NPI | 1184843419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-6115) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P7666) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-01-21 |