| NPI | 1275590697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 135693) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NY 135693) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |