| NPI | 1235140328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2005002434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2005002434) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2005002434) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-07-21 |