| NPI | 1841794732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101267946) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101267946) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-08-11 |