| NPI | 1942450440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0035516) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0035516) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |