NPI | 1457543985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2011011566) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-053115) |
208000000X Pediatrics (Licence: MO 2011011566) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2016-07-06 |