| NPI | 1750545778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54174) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P9769) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2022-02-21 |