| NPI | 1134651284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-13312) |
| Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: AR E-13312) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-08-14 |