| NPI | 1932384450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P6881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 047261) |
| 208000000X Pediatrics (Licence: CT 047261) | |
| 208M00000X Hospitalist (Licence: CT 047261) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-02-05 |