| NPI | 1992900641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A116810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 81287) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 49140) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-03-29 |