| NPI | 1306814728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 330970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 79131) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 79131) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2024-06-24 |