NPI | 1700992443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A117303) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 9008602-1205) |
208000000X Pediatrics (Licence: WA ML20008449) | |
208000000X Pediatrics (Licence: UT 9008602-1205) | |
208000000X Pediatrics (Licence: CA A117303) | |
208000000X Pediatrics (Licence: MN 50809) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-12-16 |