| NPI | 1336240332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0057740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 45396) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 45396) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-12-05 |