| NPI | 1821314865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME117378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 254428) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2013-11-21 |