NPI | 1003898297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 77317) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 77317) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2012-12-18 |