| NPI | 1760709497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.120043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120043) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2017-08-07 |