NPI | 1013137371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101255153) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5154) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME114429) | |
Enumeration Date | 2007-04-27 |
Last Update Date | 2014-12-15 |