| NPI | 1528055753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 86596) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME117016) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL MD.11429) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME117016) | |
| 208000000X Pediatrics (Licence: AL MD.11429) | |
| 207P00000X Emergency Medicine (Licence: AL MD.11429) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2021-01-12 |