| NPI | 1629175195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MT MED-PHYS-LIC-126509) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA G85188) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2026-04-14 |