| NPI | 1750316923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX Q1551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX q1511) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-11-23 |