| NPI | 1255576542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01068039A) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2021-09-07 |