| NPI | 1740675131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX U2568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U2568) |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX U2568) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-09-05 |