| NPI | 1427221506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME109324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME109324) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-10-27 |