| NPI | 1720058092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IA MD-45793) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45793) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301079456) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-12-10 |