| NPI | 1720053275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD046934L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD046934L) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2013-03-27 |