| NPI | 1215266739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01067444A) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: IN 01067444A) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2022-03-19 |