| NPI | 1538239744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD437748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD437748) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-07-28 |