NPI | 1477873735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102203452) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0102203452) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2016-10-31 |