| NPI | 1891991824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0070111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0070111) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-03-06 |