| NPI | 1487844791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2017-0087) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 48190) |
| 208000000X Pediatrics (Licence: AZ 48190) | |
| 208000000X Pediatrics (Licence: OH 35.094612) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.094612) | |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist | |
| 208M00000X Hospitalist (Licence: AZ 48190) | |
| 208M00000X Hospitalist (Licence: NM MD2017-0087) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2025-09-20 |