NPI | 1821317728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NV 16549) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16549) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-04-10 |