| NPI | 1235193301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC MD047601) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0054444) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-08-01 |