NPI | 1033301411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301098041) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20009004) |
208000000X Pediatrics (Licence: MI 4301098041) | |
Enumeration Date | 2007-08-09 |
Last Update Date | 2019-11-07 |