| NPI | 1376512533 |
|---|---|
| Professional Name | W BEAU MITCHELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 210245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 210245) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-07-24 |