| NPI | 1194918631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01361) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2012-01361) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2023-12-18 |