| NPI | 1750592580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: CA C194889) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 40974) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA C194889) | |
| 208000000X Pediatrics (Licence: CA C194889) | |
| 2080H0002X (Licence: TN 40974) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-04-27 |