| NPI | 1215324116 | 
|---|---|
| Former Name | SANDEEP KUMAR | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 91546)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 91546)  | 
| 208000000X Pediatrics (Licence: MN 60486)  | |
| 208000000X Pediatrics (Licence: MA 275177)  | |
| Enumeration Date | 2015-04-20 | 
| Last Update Date | 2024-06-28 |