NPI | 1932638186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA OS022598) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-01062) |
208000000X Pediatrics (Licence: PA OS022598) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NC 2020-01062) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2023-12-06 |