| NPI | 1639145741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-12032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9900477) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AR E-12032) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-03-28 |