| NPI | 1841497187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.120364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431979) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-12-20 |