| NPI | 1083651129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02003164A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8925) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-08-16 |