| NPI | 1376571000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301039172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301039172) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-05-07 |