| NPI | 1235332032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P2199) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME121991) |
| 208000000X Pediatrics (Licence: FL ME121991) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P2199) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-01-29 |