| NPI | 1306820717 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01094011A) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38797) | 
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 38797) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35-092263) | |
| Enumeration Date | 2005-11-30 | 
| Last Update Date | 2025-06-26 |