| NPI | 1275610594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: DC MD32284) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC MD32284) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-02-02 |