| NPI | 1225239700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 241967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241967) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD433876) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2017-01-04 |