| NPI | 1124250915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01079115A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.097422) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01079115) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.097422) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2022-10-10 |