| NPI | 1376701524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME109944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME109944) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2023-02-15 |