| NPI | 1356605299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IN 01080635A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01080635A) |
| 207R00000X Internal Medicine (Licence: IN 01080635A) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-01-07 |