NPI | 1053497990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DE C10008378) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 214133) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME124807) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2015-07-28 |