| NPI | 1427265446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NC 2020-02977) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX P0591) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-12-01 |