NPI | 1053699306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01078789A) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01078789) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2022021145) | |
Enumeration Date | 2011-08-03 |
Last Update Date | 2024-08-26 |