| NPI | 1538161245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0057117) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MD D0057117) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-04-16 |