| NPI | 1174726384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N6693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N6693) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX N6693) | |
| 207R00000X Internal Medicine (Licence: TX N6693) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-01-03 |