| NPI | 1275768343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 279946) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 106354) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 55559) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2015-07-29 |