| NPI | 1437311297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 48545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-097222) |
| 208000000X Pediatrics (Licence: TN 48545) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2019-05-02 |