NPI | 1740277409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2020005825) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020005825) |
Enumeration Date | 2005-09-28 |
Last Update Date | 2024-05-09 |