| NPI | 1336168137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 40681) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MT MED-PHYS-LIC-102822) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301075635) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-01-23 |