| NPI | 1700999265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX J4253) |
| Additional Taxonomies | 2080H0002X (Licence: TX J4253) |
| 208000000X Pediatrics (Licence: TX J4253) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 23877) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-01-25 |