| NPI | 1477602787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN MD47730) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0064926) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0064926) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-03-29 |