NPI | 1407058076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: MN 63951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119672) |
207R00000X Internal Medicine (Licence: MN 63951) | |
208000000X Pediatrics (Licence: CA A119672) | |
208000000X Pediatrics (Licence: MN 63951) | |
2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: CA A119672) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A119672) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 63951) | |
Enumeration Date | 2007-06-05 |
Last Update Date | 2022-06-11 |