| NPI | 1922530229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2020-04343) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 31308) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-08-10 |