| NPI | 1841852886 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01095379A) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022025512) | 
| Enumeration Date | 2019-06-29 | 
| Last Update Date | 2025-10-24 |