| NPI | 1104056449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 244975) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01067835A) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01067835A) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-11-20 |