NPI | 1669812053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2016012329) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016012329) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2024-04-25 |