| NPI | 1437348968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A101795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101795) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 52889) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2024-04-16 |