| NPI | 1063852762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IN 01079284A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079284A) |
| 208000000X Pediatrics (Licence: WI 3-320) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2025-06-18 |