NPI | 1609024256 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX N9941) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N9941) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2021-05-05 |