| NPI | 1548235625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 169031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 169031) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-12-09 |