| NPI | 1124446984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01083879A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 1124446984) |
| 208000000X Pediatrics (Licence: IN 01083879A) | |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2021-09-09 |