| NPI | 1619137247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AR E-13803) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IA MD42304) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-03-01 |