| NPI | 1225250129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IN 01075277A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 43609) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TN 43609) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-01-04 |