| NPI | 1508021015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0048798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102630) |
| 208000000X Pediatrics (Licence: CO 48798) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-05-06 |