NPI | 1629341243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2011013360) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011013360) |
Enumeration Date | 2012-02-13 |
Last Update Date | 2014-06-23 |