NPI | 1003855727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD017599E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD017599E) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2014-09-16 |