| NPI | 1265728695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 02005342A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34-011410) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34-011410) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-10-14 |