| NPI | 1558776062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OR MD211150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-00955) |
| 208000000X Pediatrics (Licence: NE 30041) | |
| 208000000X Pediatrics (Licence: OR MD211150) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC MD049177) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-08-10 |