| NPI | 1568402493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 18703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 18703) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 18703) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-12-14 |