NPI | 1962602607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.097799) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.097799) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2022-02-15 |