| NPI | 1518010164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 170671) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME122639) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 42894) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-07-09 |