| NPI | 1265611289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2013-00440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093964) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301093964) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2019-01-07 |