| NPI | 1497958243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.095152) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 121673) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-08-26 |