NPI | 1891874368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: UT 5261650-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5261650-1205) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2016-12-20 |