NPI | 1568624351 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 079803) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 79803) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101258119) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-10-08 |