NPI | 1558599076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CO DR.0050718) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 003593) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2014-08-28 |