| NPI | 1841497039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C146322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD432017) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 235821) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA C146322) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-11-18 |