| NPI | 1275754830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01072553A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072553A) |
| 208000000X Pediatrics (Licence: OH 095624) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-05-04 |