| NPI | 1184012130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01074968A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01074968A) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2023-04-28 |