| NPI | 1225175201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MI 4301108736) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MD D64510) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TN MD48043) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-08-19 |