| 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 |