| NPI | 1245451202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: NC 2008-00585) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2008-00585) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-04-02 |