| NPI | 1235120403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SD 8469) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 02001713A) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OK 8376) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2024-05-08 |