| NPI | 1407108913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A97708) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME 114337) |
| 208000000X Pediatrics (Licence: CA A97708) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-04-16 |