| NPI | 1255545265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.137485) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME127644) |
| 208000000X Pediatrics (Licence: FL ME127644) | |
| 208000000X Pediatrics (Licence: OH 35.137485) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2021-10-29 |