NPI | 1265611289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2013-00440) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093964) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301093964) | |
Enumeration Date | 2007-10-26 |
Last Update Date | 2019-01-07 |