NPI | 1205933595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 34354) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34354) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-10-29 |