| NPI | 1770574451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX F3427) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX F3427) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-12 |