| NPI | 1831269943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: NY 249842) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 249842) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-08-09 |