| NPI | 1447215546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME71189) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME71189) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2013-08-27 |