NPI | 1295930808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD444364) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD444364) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2017-04-19 |