| NPI | 1477873735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102203452) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: VA 0102203452) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-10-31 |