| NPI | 1982993432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 8406729-1205) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DE C1-0013152) |
| 208000000X Pediatrics (Licence: TN 52359) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DE C1-0013152) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-08-12 |