| NPI | 1457489288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 41948) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SD 7980) |
| 208000000X Pediatrics (Licence: KY 41948) | |
| 208000000X Pediatrics (Licence: SD 7980) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-10-12 |