| NPI | 1346319969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC MD048040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101058469) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-04-21 |