| NPI | 1497714810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242025) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX L9325) |
| 208000000X Pediatrics (Licence: OR MD218906) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-08-15 |