| NPI | 1982753521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 20A8610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8610) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A8610) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-11-11 |