| NPI | 1285636258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 71019) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35075261) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0064358) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2023-10-25 |