| NPI | 1720002140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 9600637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9600637) |
| 208000000X Pediatrics (Licence: NC 9600637) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-05-04 |