| NPI | 1356546493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 311769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092416) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301092416) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-08-13 |