| NPI | 1376701102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY TP296) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01068371A) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-08-12 |