| NPI | 1710921739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: OR MD24667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD24667) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2017-12-19 |