NPI | 1669682837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: ND PT16066) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SD 9226) |
208000000X Pediatrics (Licence: WI 54187) | |
208000000X Pediatrics (Licence: PA MD436889) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SD 9226) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2019-10-30 |