| NPI | 1578533865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 20A10181) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 20A10181) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 5101009446) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-11-27 |