NPI | 1831431014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301110070) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301110070) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2020-02-19 |