NPI | 1285082743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01093259A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 77660-20) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2024-06-13 |