| NPI | 1881855443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD445831) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: RI LP01318) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC MD039577) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-07-05 |