| NPI | 1700992443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A117303) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 9008602-1205) |
| 208000000X Pediatrics (Licence: WA ML20008449) | |
| 208000000X Pediatrics (Licence: UT 9008602-1205) | |
| 208000000X Pediatrics (Licence: CA A117303) | |
| 208000000X Pediatrics (Licence: MN 50809) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-12-16 |