| NPI | 1306968284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-5355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-5355) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-01-17 |