NPI | 1255545265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.137485) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME127644) |
208000000X Pediatrics (Licence: FL ME127644) | |
208000000X Pediatrics (Licence: OH 35.137485) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2021-10-29 |