| NPI | 1063892610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 02005033A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02005033A) |
| 208D00000X General Practice (Licence: IN 02005033A) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2025-10-01 |