| NPI | 1538469481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 61959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096668) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301096668) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-08-05 |