| NPI | 1841827615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0070938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0070938) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-08-15 |