| NPI | 1396954707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2013041291) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N1518) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301080751) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NM MD2009-0561) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-01-03 |