NPI | 1205824331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35076785) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35076785) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2025-04-23 |