| NPI | 1912034364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: RI MD17928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.122790) |
| 208000000X Pediatrics (Licence: RI MD17928) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.122790) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-08-31 |