| NPI | 1376961730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD493686) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01085464A) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2026-02-18 |