NPI | 1639118821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101236269) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101236269) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2023-06-29 |