NPI | 1750545778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9769) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54174) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P9769) | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2022-02-21 |