| NPI | 1750492146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: CA A84128) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NJ 25MA08103700) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-05-03 |