| NPI | 1497713358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL ME95030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME95030) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: LA MD204567) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-11-03 |