| NPI | 1881807022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NM MD2017-0041) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35088353) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 44416) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-04-06 |