| NPI | 1851389126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 68537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 68537) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX L5790) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-01-19 |