| NPI | 1508886680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD016097E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD016097E) |
| 208000000X Pediatrics (Licence: NJ 25MA07381800) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA07381800) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-04-15 |