| NPI | 1558599076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: CO DR.0050718) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 003593) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-08-28 |