| NPI | 1760893101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2017-01287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-01287) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2023-12-18 |