| NPI | 1396792065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX G2361) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX G2361) |
| 208000000X Pediatrics (Licence: TX G2361) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-04-04 |