| NPI | 1841236171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA G89458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D55485) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-01-06 |