| NPI | 1316345077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 42674) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NC 200200389) |
| 208U00000X Clinical Pharmacology (Licence: IL 036111634) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |