| NPI | 1437144151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: KS 04-38896) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: IA 31874) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MO 2009015205) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-05-16 |