| NPI | 1326178971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01057842A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01057842A) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IN 01057842) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-02-08 |