NPI | 1457447807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 48892) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 48892) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-13 |