NPI | 1508943093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.093808) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093808) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-01-17 |