| NPI | 1689906356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 11610939-1205) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 63697) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.098420) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2021-12-17 |