| NPI | 1295981793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL 1078) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN fellow- no liscence) |
| 208000000X Pediatrics (Licence: AL 1078) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2011-03-01 |