| NPI | 1598797706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 35031) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX 40322) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX M0953) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL 35031) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-03-24 |