| NPI | 1932638186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA OS022598) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-01062) |
| 208000000X Pediatrics (Licence: PA OS022598) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2020-01062) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-12-06 |