NPI | 1619001872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301082158) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301082158) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301082158) | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2022-03-26 |