NPI | 1811383052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A144615) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A144615) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2021-07-08 |