NPI | 1578851648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 275297) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 275297) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2022-07-11 |