| NPI | 1467863902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 55015) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 55015) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-12-09 |