| NPI | 1801005855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: MI 4301503602) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WI 61019-20) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: IA 36649) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-06-27 |