| NPI | 1427227602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX M7544) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: TX M7544) |
| 208000000X Pediatrics (Licence: TX M7544) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2012-03-09 |