NPI | 1972038396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.151527) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151527) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-10-21 |