| NPI | 1407143217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 61431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012009376) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2012009376) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-12-10 |