| NPI | 1225203078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL 30272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 30272) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301090873) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-05-02 |