| NPI | 1295772788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301053916) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301053916) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |