NPI | 1932631108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX S6072) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10059985) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2024-08-07 |