| NPI | 1548478126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010003289) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME116595) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME116595) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-06-04 |