NPI | 1104832377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD418146) |
Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: PA MD418146) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD418146) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2025-09-11 |