NPI | 1174712962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A 108632) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 108632) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2020-11-20 |