| NPI | 1306080957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 34.011004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC DO034303) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2013-09-27 |