| NPI | 1871892455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IA MD-45319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45319) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q0619) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2018-08-01 |