NPI | 1043464373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD60536251) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR LL17969) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2021-05-25 |