NPI | 1053386524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD484978) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10033600) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CT 042640) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA10033600) | |
Enumeration Date | 2006-02-20 |
Last Update Date | 2024-05-22 |