| NPI | 1124319389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01074155) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01074155A) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2019-05-30 |