| NPI | 1063852762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 3-320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079284A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01079284A) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-06-17 |