| NPI | 1770622789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01500) |
| Additional Taxonomies | 207ZH0000X Pathology Hematology (Licence: NC 2012-01500) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NC 2012-01500) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-07-15 |