| NPI | 1326262734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 239776) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD11932) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-09-02 |