| NPI | 1134401896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01080613A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0988) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2022-12-01 |