| NPI | 1235391996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 238951) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A86955) |
| 207P00000X Emergency Medicine (Licence: CA a86955) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2017-03-29 |