NPI | 1659401149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD424577) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD424577) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MA08612200) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-04-15 |