| NPI | 1730297870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: CA G23225) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G23225) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2019-02-04 |