| NPI | 1407058076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine Hematology (Licence: MN 63951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63951) |
| 208000000X Pediatrics (Licence: MN 63951) | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MN 63951) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-09-25 |