| NPI | 1558630624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 57576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 47961) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2018-05-30 |