| NPI | 1174632129 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IN 01038187) | 
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01038187) | 
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2020-12-04 |