| NPI | 1932150315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 357548-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 357548-1205) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: UT 357548-1205) | |
| 208000000X Pediatrics (Licence: UT 357548-1205) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-01-25 |