NPI | 1982753521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 20A8610) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8610) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A8610) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-11-11 |