NPI | 1376553057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA069144) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA069144) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2024-04-11 |