| NPI | 1326570805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD470596) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MT220824) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2021-05-30 |