NPI | 1043705999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 71589) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01085605A) |
208000000X Pediatrics (Licence: IA R-11347) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01085605A) | |
Enumeration Date | 2018-06-23 |
Last Update Date | 2024-09-22 |