| NPI | 1255389334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01032460) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01032460A) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-04-01 |