| NPI | 1508011776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD480625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD480625) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-05-22 |