| NPI | 1730337478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 53250) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.124283) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301092201) | |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2020-10-16 |