| NPI | 1053416784 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01036692) | 
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IN 01036692) | 
| Enumeration Date | 2006-09-14 | 
| Last Update Date | 2011-02-22 |