| NPI | 1205973849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 48890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P21540) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 48890) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 48890) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-07-14 |