| NPI | 1841225620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 178540) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 178540) |
| 2080H0002X (Licence: NY 178540) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-06-29 |