| NPI | 1497857528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.125601) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO CDR.0003811) |
| 208000000X Pediatrics (Licence: MO 2004028647) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2010039346) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-06-16 |