| NPI | 1497195242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD61155134) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD216472) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OR MD216472) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301109322) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI 6485) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-01-16 |