| NPI | 1932479573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: TX N2069) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N2069) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-06-22 |