| NPI | 1760587935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01082966A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078314) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35078314) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SC 36789) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-10-29 |