| NPI | 1861847048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX U4203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A162813) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A162813) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 294830) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-06-26 |