| NPI | 1952335101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX J3720) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: OH 35.140247) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: LA MD.201621) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-02-01 |