| NPI | 1205943701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: GA 061411) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: AL DO-646) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-12-12 |