| NPI | 1548229081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA03213500) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA03213500) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2010-03-04 |