NPI | 1538360185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0059913) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0050390) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2018-08-31 |