| NPI | 1134209489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX L2286) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX L2286) |
| 208000000X Pediatrics (Licence: TX L2286) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-12-01 |