| NPI | 1336304716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX Q6496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q6496) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2018-10-24 |