| NPI | 1457543985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2011011566) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-053115) |
| 208000000X Pediatrics (Licence: MO 2011011566) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2016-07-06 |