NPI | 1245859230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01090059A) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01090059A) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2023-12-20 |