| NPI | 1962900316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A146183) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A146183) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2025-04-04 |