NPI | 1477085074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 61623) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 61623) |
208000000X Pediatrics (Licence: MN 64122) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 64122) | |
Enumeration Date | 2017-04-01 |
Last Update Date | 2023-09-05 |