| NPI | 1730136722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD054696L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD054696L) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD054696L) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-06-01 |