NPI | 1093986176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 56403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56403) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-03-17 |
Last Update Date | 2018-08-15 |