| NPI | 1821317728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: NV 16549) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16549) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-04-10 |