| NPI | 1316969512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME131882) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DE C1-0012772) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN MD50222) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-03-10 |