| 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 |