NPI | 1356978183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA OS023514) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS023514) |
208000000X Pediatrics (Licence: PA OS023514) | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-08-06 |