| NPI | 1487816443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: AZ 51102) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 51102) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-10-30 |