| NPI | 1316914997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N3119) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 159021) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MA 159021) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2017-02-20 |