| NPI | 1427079441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: LA MD.06134R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 06134R) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: LA 06134R) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-02-23 |