NPI | 1497714810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242025) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX L9325) |
208000000X Pediatrics (Licence: OR MD218906) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2024-08-15 |