| NPI | 1093924441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD180546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063156A) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-11-20 |