| NPI | 1811004302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01048) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2009-01048) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NC 2009-01048) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-12-18 |