| NPI | 1124339114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A183263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A183263) |
| 208M00000X Hospitalist (Licence: OH 35.125150) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2025-02-04 |