| NPI | 1376074526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MT222135) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 282510) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2021-07-13 |