| NPI | 1841493053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME114624) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17038) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PR 17038) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-04-01 |