NPI | 1427216753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 250300) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 250300) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2015-09-09 |