| NPI | 1699923581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A52683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 237976) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2011-07-06 |